BERGERON INSURANCE GROUP INC 401 (K) PROFIT SHARING PLAN AND TRUS
|
2023
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201927912
|
2024-07-10
|
BERGERON INSURANCE GROUP, INC.
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3
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|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
9417554200
|
Plan sponsor’s
address |
1403 57TH AVE. W, STE. A, BRADENTON, FL, 34207
|
Signature of
Role |
Plan administrator |
Date |
2024-07-10 |
Name of individual signing |
NICK RICE |
Valid signature |
Filed with authorized/valid electronic signature |
|
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BERGERON INSURANCE GROUP INC 401 (K) PROFIT SHARING PLAN AND TRUS
|
2022
|
201927912
|
2023-09-11
|
BERGERON INSURANCE GROUP, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
9417554200
|
Plan sponsor’s
address |
1403 57TH AVE. W, STE. A, BRADENTON, FL, 34207
|
Signature of
Role |
Plan administrator |
Date |
2023-09-11 |
Name of individual signing |
SHIRLEY HORNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERGERON INSURANCE GROUP INC 401(K) PROFIT SHARING PLAN & TRUST
|
2021
|
201927912
|
2022-04-22
|
BERGERON INSURANCE GROUP INC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
9417554200
|
Plan sponsor’s
address |
1403-A 57TH AVE W, BRADENTON, FL, 34207
|
Signature of
Role |
Plan administrator |
Date |
2022-04-22 |
Name of individual signing |
EDWARD ROJAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERGERON INSURANCE GROUP INC 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
201927912
|
2021-04-14
|
BERGERON INSURANCE GROUP INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
9417554200
|
Plan sponsor’s
address |
1403-A 57TH AVE W, BRADENTON, FL, 34207
|
Signature of
Role |
Plan administrator |
Date |
2021-04-14 |
Name of individual signing |
EDWARD ROJAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERGERON INSURANCE GROUP INC 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
201927912
|
2020-06-02
|
BERGERON INSURANCE GROUP INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
9417554200
|
Plan sponsor’s
address |
1403-A 57TH AVE W, BRADENTON, FL, 34207
|
Signature of
Role |
Plan administrator |
Date |
2020-06-02 |
Name of individual signing |
EDWARD ROJAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERGERON INSURANCE GROUP INC 401 K PROFIT SHARING PLAN TRUST
|
2018
|
201927912
|
2019-04-25
|
BERGERON INSURANCE GROUP INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
9417554200
|
Plan sponsor’s
address |
1403-A 57TH AVE W, BRADENTON, FL, 34207
|
Plan administrator’s name and address
Administrator’s EIN |
264477125 |
Plan administrator’s name |
401K GENERATION |
Plan administrator’s
address |
195 INTERNATIONAL PKWY, S #311, LAKE MARY, FL, 32746 |
Administrator’s telephone number |
8669985879 |
Signature of
Role |
Plan administrator |
Date |
2019-04-25 |
Name of individual signing |
EDWARD ROJAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERGERON INSURANCE GROUP INC 401 K PROFIT SHARING PLAN TRUST
|
2017
|
201927912
|
2018-04-30
|
BERGERON INSURANCE GROUP INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
9417554200
|
Plan sponsor’s
address |
1403-A 57TH AVE W, BRADENTON, FL, 34207
|
Signature of
Role |
Plan administrator |
Date |
2018-04-30 |
Name of individual signing |
EDWARD ROJAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERGERON INSURANCE GROUP INC 401 K PROFIT SHARING PLAN TRUST
|
2016
|
201927912
|
2017-06-05
|
BERGERON INSURANCE GROUP INC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
9417554200
|
Plan sponsor’s
address |
1403-A 57TH AVE W, BRADENTON, FL, 34207
|
Signature of
Role |
Plan administrator |
Date |
2017-06-05 |
Name of individual signing |
EDWARD ROJAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERGERON INSURANCE GROUP INC 401(K) PS PLAN & TRUST
|
2014
|
201927912
|
2015-06-06
|
BERGERON INSURANCE GROUP INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9417554200
|
Plan sponsor’s
address |
1403 57TH AVE W STE A, BRADENTON, FL, 34207
|
Signature of
Role |
Plan administrator |
Date |
2015-06-06 |
Name of individual signing |
BERTIE PECK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERGERON INSURANCE GROUP INC 401(K) PS PLAN & TRUST
|
2013
|
201927912
|
2014-05-28
|
BERGERON INSURANCE GROUP INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9417554200
|
Plan sponsor’s
address |
1403 57TH AVE W STE A, BRADENTON, FL, 34207
|
Signature of
Role |
Plan administrator |
Date |
2014-05-28 |
Name of individual signing |
BERTIE PECK |
Valid signature |
Filed with authorized/valid electronic signature |
|
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